Referral Coordinator

CareSouth•Baton Rouge, LA

2d•Onsite

About The Position

The Referral Coordinator is responsible for managing, tracking, and monitoring outgoing and internal referrals to ensure patient safety, care coordination, and continuity of care. This role assists with healthcare access to manage patient care.

Requirements

Minimum of high school diploma
Minimum of three years of experience with working referrals
Demonstrates a high level of skill at building relationships and providing excellent customer service
Inhibits a strong attention to detail and accuracy
Has the ability to utilize computers for data entry and information retrieval
Demonstrates knowledge of the referral process for a variety of insurance plans
Demonstrates success in researching and resolving complex issues
Must have strong written and verbal communication skills.
Must have pleasant telephone etiquette; ability to deal tactfully and effectively with patients; must have strong computer skills, use of Microsoft applications and familiarity with electronic health records.
Must be critical-thinking and detailed-oriented.

Nice To Haves

Certified Medical Assistant or Licensed Practical Nurse or associates in a health field

Responsibilities

Maintains a database of health center referral contacts throughout Baton Rouge and CSMD service areas, specifically within agencies providing health and social services to patients.
Acts as liaison to hospitals, specialty clinics, and other providers outside of CSMD to track and monitor referrals.
Coordinates referrals to health services based on provider's orders.
Ensures that all documentation is completed and in the electronic medical record (EMR).
Maintains updated referral resources.
Upholds and completes referrals to ensure the entire referral process is complete.
Initiates authorizations for referrals through insurance payors.
Ensures that referrals are addressed in a timely manner.
Outreach to patients and health agencies on the status of referrals.
Works closely with the Health Information Technology department and Care Coordination to ensure timely coordination of care.
Works closely with the Clinical Care Team to assist with coordinating appointments for patients.
Promptly reviews all incoming referrals for "critical need" or attention required immediately by the provider.
Adheres to all CSMD policies and procedures.
Other job duties as assigned.
Knowledge and understanding of Employee Handbook.
Carry out the meaning of the CSMD Mission and Vision statements.
Practice a culture of safety to reduce or prevent risk of injury, claims, loss or liability by utilizing the Risk Management and Infection Control Plan.
Perform responsibilities with a high-quality standard to yield improved compliance, quality, and patient outcome measures by adhering to the Quality Improvement Plan.
Be present and ready for work as scheduled.
Attend in-service trainings, departmental meetings, and community events.
Work cohesively with team members.